I hope this counts as a good source, u/borax let me know I certainly don't want to disrespect your rules, it would be nothing for me to add additional, more rigorous sources (well, I guess rigorous is code for official and academic for the most part isn't it? I suppose some of them are more genuinely rigorous than others, lol).
Going off of my understanding, which borrows from both traditional education and first hand experience, a degree of study I'd wager is as good as any you'll see short of a PhD/MD, I thought his speech was for the most part on par, though not as comprehensive as I'd prefer. Many of the things he said we're maybe a little fatalistic and exaggerated, if still technically true, I felt.
Still I didn't feel like the speech came off as overly prohibitionist and biased either. He mentioned that heavy addiction is usually born of a slow process, starting with occasional use and gradually escalating, credit where it's due for that.
Of course, I'd suggest sometimes a doctor's curse is the fact that he nearly always must view his patient's illness from a second hand perspective, that of observing someone else who is dealing with it, since a good doctor must guard his own health or he's no help to others.
Your average patient also lacks the same ability to describe their condition as the doctor has, and they may mislead or intentionally lie (especially in the case of drug addiction) when reporting their symptoms.
Thus, it seemed a little funny when he opened with the classic hopeless question, "Why do meth addicts do meth all the time?" Which to be sure is worth answering, but it seems so funny to ask when the answer seems obvious–"Because it feels good." He did mention communal factors though as a secondary aspect and I have to strongly agree there.
The only things he said that I felt very sketchy about were a few points related to the idea of meth causing catastrophic anhedonia, what he makes out to be a near complete loss of the ability to enjoy anything outside of meth, which I don't think can possibly be said to be accurate even in the most extreme circumstances.
Why not you say? Because anyone who has recently crashed off of meth can tell you that they do in fact have a strong hedonic drive in some respects, most notably for food, passive entertainment (such as TV) and rest. It would be much more accurate to say that meth causes anhedonia with respect to certain types of pleasure. The pleasure of excitement and focused activity especially.
You'd at least need a massive overdose of meth, or of MPTP, to accomplish that I suspect.
And even here I feel he'd still be exaggerating to suggest a permanent injury to this faculty. Yes very heavy users might take years to recover back to where they were before or at least very close to it, but from what I've seen even these people do make a sizable recovery, and certainly are not doomed to never feel pleasure again.
Lastly, he claimed that pairing meth with other pleasurable experiences causes a person to lose their normal appreciation they had without meth, and fixes the perception of that pleasure to meth.. A bit of a convoluted theory, utterly untrue in my book, in fact quite the opposite. I've found for instance, music paired with meth or other stimulants does not lose it's intrinsic appreciative value without meth, but can actually become quite enhanced in it's effect long after the meth is gone (years, at least).
You could argue that again this is somehow the meth behind it all but I think that's a stretch. Even if it is, if it's not tied to meth being paired with the stimulus, then it doesn't matter.
He also said like, meth could make you lose the ability to appreciate nature… yeah I don't think so. I guarantee anyone here, go out and find a dark sky area of the country where you can go and properly star gaze without light pollution, then try it on meth, see if seems somehow not as awesome without meth later… yeah I very much doubt the wonder of the cosmos would be diminished, cosmic wonder is said to be potent stuff and I must agree. Lol sorry couldn't help myself 🙂
Let me know your thoughts please. I was especially disappointed that this Doc mentioned no pharmacological treatments for meth use, such as maybe modafinil for starters.
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